Epidemiological and Clinical Considerations of COVID-19 in Patients with Diabetes Mellitus

Authors

  • Frank Hernández-García Centro Provincial de Atención y Educación al Paciente Diabético, Hospital Provincial General Docente “Dr. Antonio Luaces Iraola”, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Filiación actual: Departamento de Medicina, Facultad de Medicina, Universidad de Oviedo, Asturias, España.
  • Luis Alberto Lazo Herrera Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”, Universidad de Ciencias Médicas de Pinar del Río. Pinar del Río, Cuba.
  • Enrique Rolando Pérez García Policlínico Universitario Área Norte, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Ciego de Ávila, Cuba.
  • Jany Casanovas Figueroa Centro Provincial de Atención y Educación al Paciente Diabético, Hospital Provincial General Docente “Dr. Antonio Luaces Iraola”, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Ciego de Ávila, Cuba

Keywords:

coronavirus disease, SARS-CoV-2, COVID-19, diabetes mellitus type 2, Mellitus diabetes.

Abstract

Introduction: Patients with diabetes mellitus have a predisposition to viral, bacterial and fungal infections. In the face of the COVID-19 pandemic, it has been shown how diabetes is a common comorbidity among those affected by this disease.

Objective: To describe the relationship between COVID-19 and diabetes mellitus.

Methods: A bibliographic review was carried out from February to May 2021. Open access scientific articles available in SCOPUS and PubMed databases were consulted. Original research, meta-analyses, reviews, consensus guidelines and summary documents from official organizations and scientific societies were included. Sixty publications were worked on, in total.

Conclusions: Observational studies have provided evidence in favor of the relationship between diabetes and the risk of developing severe forms of COVID-19. This susceptibility involves pathophysiological factors that include the pro-inflammatory state that is generated in diabetes, the overexpression of ACE2, and the cytokine storm. The risk is greater in elderly, male patients, with other comorbidities, socioeconomic vulnerability and poor glycemic control (HbA1c > 7%). Health professionals related to the assistance and care of patients with diabetes must stay updated and guide their patients in care measures, to reduce the risk of contagion and, in that case, the incidence of severe forms of the disease.

 

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Author Biographies

Frank Hernández-García, Centro Provincial de Atención y Educación al Paciente Diabético, Hospital Provincial General Docente “Dr. Antonio Luaces Iraola”, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Filiación actual: Departamento de Medicina, Facultad de Medicina, Universidad de Oviedo, Asturias, España.

Médico general. Doctorando del Programa de Doctorado en Ciencias de la Salud por la Universidad de Oviedo.

Luis Alberto Lazo Herrera, Facultad de Ciencias Médicas “Dr. Ernesto Che Guevara de la Serna”, Universidad de Ciencias Médicas de Pinar del Río. Pinar del Río, Cuba.

Médico general.

Enrique Rolando Pérez García, Policlínico Universitario Área Norte, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Ciego de Ávila, Cuba.

Médico general. Especialista de I Grado en Medicina General Integral.

Jany Casanovas Figueroa, Centro Provincial de Atención y Educación al Paciente Diabético, Hospital Provincial General Docente “Dr. Antonio Luaces Iraola”, Facultad de Ciencias Médicas “Dr. José Assef Yara”, Universidad de Ciencias Médicas de Ciego de Ávila. Ciego de Ávila, Cuba

Médico general. Especialista de I Grado en Endocrinología General. Profesor Instructor

Published

2024-05-07

How to Cite

1.
Hernández-García F, Lazo Herrera LA, Pérez García ER, Casanovas Figueroa J. Epidemiological and Clinical Considerations of COVID-19 in Patients with Diabetes Mellitus. Rev Cubana Salud Pública [Internet]. 2024 May 7 [cited 2025 Jun. 4];49(4). Available from: https://revsaludpublica.sld.cu/index.php/spu/article/view/3356